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CITY OF ORONO <br />License Year <br />P.O. Box 66 <br />Date Received <br />Crystal Bay, MN 55323 <br />Fee Paid <br />Initials <br />473-73t <br />GARBAGE <br />6 REFUSE COLLECTOR'S LICENSE APPLIC �A6COtiI VirI <br />The undersigned wishes to <br />operate the indicated business in <br />A <br />LyM Ora <br />nd�, <br />herewith makes application for a license to do so._ L.) <br />Business/Firm <br />(5treet) (City) <br />Business Phone Number 417 *- /94 7 <br />Applican <br />Address <br />Phone Nu <br />Check One: <br />Individual <br />Partnership <br />_ Corporition <br />Number of Vehicles <br />to be used in Orono <br />;L— <br />Description of <br />Vehicles (attached list if <br />more): <br />Loaded Loaded <br />Year Mfgr. <br />Gross Wt. Rear Axle Wt. <br />Size/Yards <br />License Number <br />ii3A/ <br />#�/zO 7 <br />—os- 2aar-a <br />T— <br />General area of <br />City served <br />Collection chy=ges/ dates <br />Approximate number of pustomers ��i /nn�J Orono 3-" <br />Location of dumping area L O`�E(C('., <br />______________________________________________ _�� _________________-_ <br />IN RUER POR TtlIS `APPPLICATI N TO E COMPJETE,e0-U MUST NCLOSE THE FOLLOWING: <br />Surety bond in the amount of $1,000. Proof of insurance in the amount of <br />$300,000-$300,000-$50,000, and 30-day cancellation clause. Annual fee is a <br />$30.00 flat rate fee, plus $15/truck, and a $30.00 transfer fee (if applicable). <br />___________________________________________-______-_-_____________________ <br />I am the owner aiid-Z�p—e-r-a-t-ffir of the above business and I have paid all license fees <br />taxes r 7y law. The above information is correct. <br />Applicant Date <br />__________________________________________________________________________ <br />FOR CITY USE ONLY: After review of application, staff recommends: <br />` Approval Denial Other (specify) <br />Sr ture of City Official Date , <br />